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NPI 1588619530

NPI 1588619530 : JORGE A AMADOR MD : NEWNAN, GA

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General NPI Number Information
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    NPI Number           |    1588619530
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    Entity Type          |    Individual 
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    Provider Name        |    JORGE A AMADOR MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/24/2006
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    Last Update Date     |    02/12/2026
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Provider Practice Location Address
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    Address Line         |    60 OAK HILL BLVD SUITE 204
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    City                 |    NEWNAN
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    State                |    GA
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    Zip                  |    30265-2314
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    Country              |    US
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    Telephone            |    770-400-8444
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    Fax                  |    770-400-8445
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Provider Business Mailing Address
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    Address Line         |    8 VILLAGE LN 
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    City                 |    NEWNAN
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    State                |    GA
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    Zip                  |    30265-1902
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    Country              |    US
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    Telephone            |    770-400-8443
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    Fax                  |    770-400-8445
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    8415
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    License Number State |    PR
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    058842
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    License Number State |    GA
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